1. Chapter 2: Healthy People 2020 2014 A NNUAL D ATA R EPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE

2. 2Vol 2, ESRD, Ch 2 Data Source: Special analyses, Medicare 5 percent sample. Medicare patients age 65 & older with a hospitalized AKI event in given year. Abbreviations: Af Am, African American; AKI, acute kidney injury; CKD, chronic kidney disease. vol 2 Table 2.1 HP2020 CKD-3 Increase the proportion of hospital patients who incurred acute kidney injury who have follow-up renal evaluation in 6 months post- discharge: Target 12.3% 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) All 2.43.14.58.49.110.511.210.611.511.912.813.2 American Indian or Alaskan Native only 0.0 2.916.74.813.212.015.26.911.016.711.5 Asian only 3.82.04.58.112.619.015.211.416.715.416.516.8 Black or Af Am only 2.92.54.07.99.89.211.310.412.311.312.313.5 White only 2.33.24.58.38.810.511.110.411.211.912.713.0 Hispanic or Latino 1.46.67.112.812.210.112.415.513.513.617.115.0 Male 2.83.54.68.89.911.312.611.912.512.814.014.3 Female 2.02.84.38.08.39.710.09.410.611.111.812.2 65-74 3.64.26.211.712.914.716.114.816.016.517.717.6 75-84 2.03.24.28.58.610.411.110.811.312.413.313.4 85+ 0.81.12.23.14.45.1 5.06.45.96.27.4

3. 3 vol 2 Table 2.2 HP2020 D-12 Increase the proportion of persons with diagnosed diabetes who obtain an annual urine albumin measurement: Target 36.6% Vol 2, ESRD, Ch 2 Data Source: Special analyses, Medicare 5 percent sample. Medicare patients with diabetes mellitus, age 65 & older. Abbreviations: Af Am, African American; D, diabetes mellitus. 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) All 15.318.121.225.528.531.033.335.336.938.640.542.4 American Indian or Alaskan Native only 11.412.013.015.518.920.220.921.124.122.924.623.9 Asian only 16.820.623.928.830.433.434.937.339.541.743.847.4 Black or Af Am only 13.115.618.523.526.429.031.533.335.336.939.040.6 White only 15.518.521.625.728.731.233.535.537.138.740.642.4 Hispanic or Latino 15.417.820.725.529.631.333.235.137.540.242.344.3 Male 15.918.821.926.529.431.934.536.437.939.541.643.3 Female 14.817.620.724.727.830.232.434.436.237.739.641.6 65-74 18.121.224.729.432.635.137.739.941.843.345.347.3 75-84 13.716.719.623.826.829.631.833.735.337.139.141.0 85+ 7.29.010.913.916.118.120.522.223.525.026.728.0

4. 4 vol 2 Table 2.3 HP2020 CKD-4.1 Increase the proportion of persons with chronic kidney disease who receive medical evaluation with serum creatinine, lipids, and urine albumin: Target 28.3% Vol 2, ESRD, Ch 2 Data Source: Special analyses, Medicare 5 percent sample. Medicare patients age 65 & older with CKD. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) All 7.39.110.619.822.123.425.726.728.129.030.231.2 American Indian or Alaskan Native only 8.25.57.013.719.215.816.916.718.420.321.118.6 Asian only 8.414.414.127.527.932.535.334.137.636.939.541.2 Black or Af Am only 6.68.710.120.822.824.426.727.830.130.632.333.2 White only 7.18.810.419.321.622.925.126.327.428.329.430.4 Hispanic or Latino 13.117.317.726.830.531.133.032.036.036.738.941.3 Male 7.59.311.321.123.424.527.128.429.630.632.033.1 Female 7.08.910.018.620.922.324.325.226.727.628.629.5 65-74 10.312.614.226.129.231.433.935.136.737.738.940.0 75-84 6.28.09.818.520.822.624.926.227.728.930.331.2 85+ 2.33.14.08.210.010.112.113.114.014.816.217.0

5. Vol 2, ESRD, Ch 25 Data Source: Special analyses, Medicare 5 percent sample. Medicare patients age 65 & older with CKD & diabetes mellitus. Abbreviations: Af Am, African American; CKD, chronic kidney disease; HgbA1c, glycosylated hemoglobin. vol 2 Table 2.4 HP2020 CKD-4.2 Increase the proportion of persons with Type 1 or Type 2 diabetes and chronic kidney disease who receive medical evaluation with serum creatinine, urine albumin, HgbA1c, lipids, and eye examinations: Target 25.3% 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) All 9.010.412.118.420.021.123.023.725.126.526.927.7 American Indian or Alaskan Native only 7.32.45.75.615.812.510.210.9 15.114.211.5 Asian only 8.312.412.824.921.826.126.725.327.029.630.832.5 Black or Af Am only 6.77.29.916.317.918.819.721.122.423.825.125.4 White only 9.411.012.518.620.321.423.424.225.627.027.128.0 Hispanic or Latino 10.411.8 20.420.319.822.221.724.624.026.525.3 Male 9.310.612.418.820.321.423.523.725.626.727.327.9 Female 8.710.311.818.019.720.922.523.624.726.226.627.5 65-74 10.912.314.322.023.424.626.627.228.530.030.130.8 75-84 8.19.911.616.918.920.722.623.325.226.727.428.4 85+ 4.04.24.99.511.511.313.014.215.516.617.718.4

6. 6 Data Source: Special analyses, USRDS ESRD Database and CDC Bridged Race Intercensal Estimates Dataset Incident ESRD patients. Adj: overall, age/sex/race; rates by age adjusted for sex/race; rates by sex adjusted for age/race; rates by race/ethnicity adjusted for age/sex. Reference: 2011 patients. “.” Zero values in this cell. ~Estimate shown is imprecise due to small sample size and may be unstable over time. Abbreviations: Adj, adjusted; Af Am, African American; CKD, chronic kidney disease; ESRD, end-stage renal disease. Vol 2, ESRD, Ch 2 vol 2 Table 2.5 HP2020 CKD-8 Reduce the rate of new cases of end-stage renal disease: Target 347.7 new cases per million population 200120022003200420052006200720082009201020112012 All 384.0384.6 384.1387.5394.4386.3382.3385.7378.7362.3359.2 American Indian or Alaskan Native only 704.3671.6618.2636.0613.0523.2536.0548.8539.8498.4473.3469.9 Asian only 319.9312.9304.6282.0337.8355.2357.1357.3365.3358.5350.3343.8 Native Hawaiian or other Pacific Islander only~ 3368.23505.63464.83650.92872.82781.52370.62125.02376.32565.52321.62527.7 Black or Af Am only 1120.11126.61126.11088.91099.71109.31085.51069.71070.81034.0995.1955.4 White only 291.4292.3292.5296.8301.0309.5303.6301.4305.9303.3289.9290.7 Two or more races.....122.6113.1112.089.271.247.316.1 Hispanic or Latino 622.4632.1631.0607.2594.0594.9580.6576.4573.7568.9554.5521.1 Not Hispanic or Latino 368.0368.3369.1370.4373.3378.6371.6368.3372.5365.7350.0349.1 Black or Af Am only, not Hispanic or Latino 1136.51144.01143.81103.51116.01126.01105.11088.91088.41053.31012.9975.4 White only, not Hispanic or Latino 267.3266.3 271.8274.1279.1273.3270.1273.5269.6255.9259.1

7. 7 Data Source: Special analyses, USRDS ESRD Database and CDC Bridged Race Intercensal Estimates Dataset Incident ESRD patients. Adj: overall, age/sex/race; rates by age adjusted for sex/race; rates by sex adjusted for age/race; rates by race/ethnicity adjusted for age/sex. Reference: 2011 patients. “.” Zero values in this cell. ~Estimate shown is imprecise due to small sample size and may be unstable over time. Abbreviations: Adj, adjusted; Af Am, African American; CKD, chronic kidney disease; ESRD, end-stage renal disease. Vol 2, ESRD, Ch 2 vol 2 Table 2.5 HP2020 CKD-8 Reduce the rate of new cases of end-stage renal disease: Target 347.7 new cases per million population (continued) 200120022003200420052006200720082009201020112012 Male 459.8465.8465.2473.0479.6489.2481.5479.0484.4477.0456.9452.4 Female 323.6320.3321.0313.3314.5318.6310.8305.5307.2300.0285.9283.7 <18 12.012.312.412.712.611.512.312.112.011.611.811.7 0-4 9.68.39.711.110.29.111.110.210.911.311.511.6 5-11 7.89.37.98.0 6.57.07.67.2 6.97.5 12-17 18.919.120.019.520.019.219.518.918.417.017.816.7 18-44 113.5112.7111.7112.9117.5121.2119.4118.7122.4118.9115.6115.2 18-24 44.542.342.639.642.243.342.541.340.439.439.636.3 25-44 137.6137.3135.9138.5143.9148.5146.3145.8151.1146.7142.1142.9 45-64 617.6607.3608.8602.3603.5613.7598.4594.0594.4577.8558.0562.2 45-54 391.4389.4391.9390.3388.0404.1391.1386.9389.6375.2372.8373.3 55-64 843.9825.2825.7814.3819.1823.3805.6801.0799.1780.3743.1751.1 65+ 1585.21629.41619.01616.41634.91657.71624.51602.11614.71609.21526.41476.7 65-74 1441.51429.31410.21400.91389.71416.21381.11354.91364.11359.61275.71252.3 75-84 1761.01857.91848.31850.11896.81917.01878.91856.71871.31871.01792.61716.0 85+ 1264.61346.61414.51433.51469.31479.21514.31527.61555.01486.71372.61327.1

8. 8 Data Source: Special analyses, USRDS ESRD Database and CDC Bridged Race Intercensal Estimates Dataset Incident ESRD patients. Incident ESRD patients. Adj: age/sex/race; Reference: 2011. “.” Zero values in this cell. *Values for cells with 10 or fewer patients are suppressed. ~Estimate shown is imprecise due to small sample size and may be unstable over time. Abbreviations: Adj, adjusted; Af Am, African American; CDC, Centers for Disease Control and Prevention; CKD, chronic kidney disease; ESRD, end-stage renal disease. Vol 2, ESRD, Ch 2 vol 2 Table 2.6 HP2020 CKD-9.1 Reduce kidney failure due to diabetes: Target 151.9 per million population 200120022003200420052006200720082009201020112012 All 175.1172.3171.4171.3171.6174.6168.7166.2167.0164.4157.0154.0 American Indian or Alaskan Native only 519.8492.2464.8475.0427.5363.0376.9391.2388.0353.2327.5318.3 Asian only 150.8142.0138.3128.2159.5176.4171.4178.9179.7172.8173.5165.1 Native Hawaiian or other Pacific Islander only~ 2158.01960.91966.12220.11664.71700.41467.61283.71476.31609.11411.81462.8 Black or Af Am only 519.7513.8504.0490.7492.1495.6473.5468.7466.7452.4431.2402.4 White only 132.0130.6130.8132.7133.9137.8134.3132.2133.5132.9127.5127.2 Two or more races.....59.458.749.042.329.318.44.6 Hispanic or Latino 397.4398.8400.6386.1371.7368.9360.5361.2353.5351.0340.1315.5 Not Hispanic or Latino 162.3159.4158.7159.6159.7162.0156.5154.2155.6153.1146.1144.7 Black or Af Am only, not Hispanic/Latino 527.5521.3511.3497.1499.3503.3481.4476.7475.2460.4438.7411.6 White only, not Hispanic or Latino 113.5111.1110.7113.0113.2115.1111.4108.1109.2108.0102.2103.6

9. 9Vol 2, ESRD, Ch 2 Data Source: Special analyses, USRDS ESRD Database and CDC Bridged Race Intercensal Estimates Dataset Incident ESRD patients. Incident ESRD patients. Adj: age/sex/race; Reference: 2011. “.” Zero values in this cell. *Values for cells with 10 or fewer patients are suppressed. ~Estimate shown is imprecise due to small sample size and may be unstable over time. Abbreviations: Adj, adjusted; Af Am, African American; CDC, Centers for Disease Control and Prevention; CKD, chronic kidney disease; ESRD, end-stage renal disease. vol 2 Table 2.6 HP2020 CKD-9.1 Reduce kidney failure due to diabetes: Target 151.9 per million population (continued) 200120022003200420052006200720082009201020112012 Male 191.5192.2191.9197.5199.3203.5199.1197.8200.2198.0190.1186.5 Female 161.2155.5154.3149.5148.4150.2143.4140.0139.3136.2129.2126.4 <18 0.1 * 0-4 *****0.2.*0.3 *0.2 5-11.0.1..*..*...* 12-17 ****0.2******* 18-44 33.832.833.634.435.238.537.837.539.939.639.737.8 18-24 3.72.93.02.13.13.22.72.42.62.52.32.4 25-44 44.343.344.345.746.550.950.249.853.052.652.850.1 45-64 344.2333.8329.3324.1323.5323.3309.9307.9306.6295.0280.6281.1 45-54 191.7188.8187.3185.6182.9189.2179.2178.1179.8175.6173.0173.9 55-64 496.8478.8471.4462.5464.2457.5440.6437.6433.3414.5388.3 65+ 679.1688.9682.4690.1694.8705.8690.0672.8673.1678.9645.4611.1 65-74 749.6734.6727.7721.3712.1724.4697.2676.9674.6668.1630.1607.5 75-84 649.1682.2673.4693.2714.1722.0715.1698.4700.0719.2689.4641.1 85+ 274.9298.4318.4345.9329.3358.0366.4376.7389.8383.8358.5345.6

10. 10Vol 2, ESRD, Ch 2 vol 2 Table 2.7 HP2020 CKD-9.2 Reduce kidney failure due to diabetes among persons with diabetes: Target 2,356 per million population Data Source: Special analyses, USRDS ESRD Database and CDC Bridged Race Intercensal Estimates Dataset Incident ESRD patients. Incident ESRD patients. Adj: age/sex/race; Ref: 2011. NHIS 2006–2012 used to estimate diabetes mellitus prevalence; “.” Zero values in this cell. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Adj, adjusted; Af Am, African American; CDC, Centers for Disease Control and Prevention; CKD, chronic kidney disease; ESRD, end-stage renal disease; NHIS, National Health Interview Survey; Ref, reference. 200720082009201020112012 All 2,6182,4872,4052,3502,2762,245 American Indian or Alaskan Native only 2,5852,9682,9922,6672,3062,278 Asian only 2,0912,2132,2472,1542,1242,137 Native Hawaiian or other Pacific Islander only...... Black or Af Am only 4,4924,3474,2623,9963,8413,670 White only 2,2782,1412,0542,0331,9761,967 Two or more races 44734627319615836 Hispanic or Latino 3,3133,1702,9552,9032,8952,772 Not Hispanic or Latino 2,5172,3892,3222,2642,1812,159 Black or Af Am only, not Hispanic/Latino 4,6984,5364,4894,2044,0753,871 White only, not Hispanic or Latino 2,0501,9031,8291,8061,7341,751

11. 11Vol 2, ESRD, Ch 2 vol 2 Table 2.7 HP2020 CKD-9.2 Reduce kidney failure due to diabetes among persons with diabetes: Target 2,356 per million population (continued) Data Source: Special analyses, USRDS ESRD Database and CDC Bridged Race Intercensal Estimates Dataset Incident ESRD patients. Incident ESRD patients. Adj: age/sex/race; Ref: 2011. NHIS 2006–2012 used to estimate diabetes mellitus prevalence; “.” Zero values in this cell. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Adj, adjusted; Af Am, African American; CDC, Centers for Disease Control and Prevention; CKD, chronic kidney disease; ESRD, end-stage renal disease; NHIS, National Health Interview Survey; Ref, reference. 200720082009201020112012 Male 2,9312,7452,6272,5472,5232,516 Female 2,3272,2362,1802,1442,0261,975 <18 *34 513559 0-4...... 5-11 *....* 12-17 ****** 18-44 1,6131,5321,5071,4621,5611,497 18-24 341272289293338291 25-44 1,7481,6781,6421,5791,6681,632 45-64 2,3802,2572,1992,1392,0722,096 45-54 2,0101,8441,8551,8691,8791,874 55-64 2,6452,5732,4412,3132,1822,233 65+ 3,1022,9412,8072,7282,5792,489 65-74 3,1882,9932,9002,7762,6242,544 75-84 3,3513,1592,9412,8842,8042,702 85+ 1,9502,0691,9852,0851,7741,688

12. 12 Data Source: Special analyses, Medicare 5 percent sample. Incident hemodialysis patients with a valid ESRD Medical Evidence CMS 2728 form; nephrologist care determined from Medical Evidence form. Abbreviations: Af Am, African American; CMS, Centers for Medicare and Medicaid Services; CKD, chronic kidney disease; ESRD, end-stage renal disease. Vol 2, ESRD, Ch 2 Vol 2 Table 2.8 HP2020 CKD-10 Increase the proportion of chronic kidney disease patients receiving care from a nephrologist at least 12 months before the start of renal replacement therapy: Target 30.0% 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) All 25.726.427.328.6 29.631.033.1 American Indian or Alaskan Native only 25.427.026.027.927.224.228.330.1 Asian only 25.824.026.727.729.329.931.632.1 Native Hawaiian or other Pacific Islander only 23.225.424.022.023.825.327.127.4 Black or Af Am only 22.223.124.124.725.025.527.229.7 White only 27.328.028.830.430.231.332.734.7 Two or more races 21.421.622.127.526.025.925.0 Hispanic or Latino 20.021.321.422.322.623.725.125.9 Not Hispanic or Latino 26.627.228.229.629.530.532.134.4 Black or Af Am only, not Hispanic/Latino 22.223.224.124.725.025.627.329.8 White only, not Hispanic or Latino 28.829.430.532.332.033.234.737.0

13. 13Vol 2, ESRD, Ch 2 vol 2 Table 2.8 HP2020 CKD-10 Increase the proportion of chronic kidney disease patients receiving care from a nephrologist at least 12 months before the start of renal replacement therapy: Target 30.0% (continued) Data Source: Special analyses, Medicare 5 percent sample. Incident hemodialysis patients with a valid ESRD Medical Evidence CMS 2728 form; nephrologist care determined from Medical Evidence form. Abbreviations: Af Am, African American; CMS, Centers for Medicare and Medicaid Services; CKD, chronic kidney disease; ESRD, end-stage renal disease. 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) Male 26.126.527.328.428.329.630.833.2 Female 25.326.327.328.828.929.531.433.1 <18 39.736.135.140.139.137.744.740.7 0-4 25.019.826.026.922.823.325.226.6 5-11 50.548.940.753.147.749.058.351.7 12-17 41.437.036.740.442.239.347.742.5 18-44 23.323.023.724.423.924.325.827.8 18-24 24.723.225.024.024.825.427.626.5 25-44 23.222.923.524.523.824.225.627.9 45-64 25.726.126.727.327.427.929.531.2 45-54 24.125.025.525.325.826.228.429.5 55-64 26.826.927.428.628.529.030.132.2 65+ 26.127.528.630.5 32.033.435.9 65-74 27.028.428.930.630.732.033.435.6 75-84 25.927.328.931.230.932.733.936.7 85+ 22.924.226.627.628.429.731.634.2

14. 14Vol 2, ESRD, Ch 2 vol 2 Table 2.9 HP2020 CKD-11.3 Increase the proportion of adult hemodialysis patients who use arteriovenous fistulas or have a maturing fistula as the primary mode of vascular access at the start of renal replacement therapy: Target 35.0% Data Source: Special analyses, Medicare 5 percent sample. Incident hemodialysis patients age 18 & older. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) All 31.232.131.831.332.433.935.236.8 American Indian or Alaskan Native only 36.539.138.041.641.340.940.640.7 Asian only 36.337.735.535.935.837.637.338.1 Native Hawaiian or other Pacific Islander only 40.634.935.632.732.332.836.037.7 Black or Af Am only 28.529.429.929.330.832.234.136.0 White only 32.032.932.331.932.834.435.537.1 Two or more races 23.036.229.324.833.231.333.038.1 Hispanic or Latino 31.532.430.029.831.132.833.634.5 Not Hispanic or Latino 31.132.0 31.632.634.135.537.3 Black or Af Am only, not Hispanic/Latino 28.429.329.929.230.732.034.036.0 White only, not Hispanic or Latino 32.133.032.932.433.334.936.237.9

15. 15Vol 2, ESRD, Ch 2 Data Source: Special analyses, Medicare 5 percent sample. Incident hemodialysis patients age 18 & older. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) Male 35.135.335.034.035.036.438.039.3 Female 26.428.027.627.829.030.631.533.5 18-44 29.629.728.327.629.331.132.032.7 18-24 25.922.720.921.023.023.724.926.1 25-44 30.030.429.128.329.931.832.733.4 45-64 33.333.532.732.633.434.436.038.0 45-54 32.533.232.532.233.034.136.037.3 55-64 33.933.732.9 33.634.736.038.4 65+ 30.031.631.831.132.434.135.336.8 65-74 31.833.634.233.034.436.037.139.0 75-84 29.430.830.730.932.033.935.136.3 85+ 23.725.225.424.325.526.728.429.2 vol 2 Table 2.9 HP2020 CKD-11.3 Increase the proportion of adult hemodialysis patients who use arteriovenous fistulas or have a maturing fistula as the primary mode of vascular access at the start of renal replacement therapy: Target 35.0% (continued)

16. 16 Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. * Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease; ESRD, end-stage renal disease. Vol 2, ESRD, Ch 2 vol 2 Table 2.10 HP2020 CKD-12 Increase the proportion of dialysis patients wait-listed and/or receiving a deceased donor kidney transplant within 1 year of end-stage renal disease start (among patients under 70 years of age): Target 18.7% of dialysis patients 2000 (%) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) All 15.414.6 14.715.415.917.017.116.817.317.017.7 American Indian or Alaskan Native only 12.89.710.19.610.211.310.411.310.711.5 11.3 Asian only 27.029.128.028.332.128.231.330.831.332.332.133.1 Native Hawaiian or other Pacific Islander only 17.417.518.819.518.116.015.214.914.115.2 14.8 Black or Af Am only 11.210.510.710.611.612.113.113.3 13.9 14.5 White only 17.116.316.116.416.817.618.518.618.218.317.918.7 Two or more races *****14.119.414.123.723.823.017.4 Hispanic or Latino 13.012.713.314.114.615.817.617.717.418.217.618.6 Not Hispanic or Latino 15.514.714.5 15.415.816.716.816.616.916.817.4 Black or Af Am only, not Hispanic/Latino 11.210.510.710.611.612.013.013.2 13.9 14.5 White only, not Hispanic or Latino 18.117.116.8 17.218.118.818.918.418.318.018.5

17. 17Vol 2, ESRD, Ch 2 Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. * Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease; ESRD, end-stage renal disease. vol 2 Table 2.10 HP2020 CKD-12 Increase the proportion of dialysis patients wait-listed and/or receiving a deceased donor kidney transplant within 1 year of end-stage renal disease start (among patients under 70 years of age): Target 18.7% of dialysis patients (continued) 2000 (%) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) Male 16.515.315.715.616.516.918.017.817.518.117.818.4 Female 13.4 12.713.113.714.315.315.815.715.8 16.5 <18 42.940.743.050.146.353.357.556.258.257.956.554.9 0-4 26.232.132.941.232.534.342.738.240.243.939.637.5 5-11 44.849.545.650.351.965.065.366.769.865.964.962.5 12-17 47.541.243.252.948.255.963.560.764.663.062.361.2 18-44 29.527.627.726.127.826.928.927.827.627.927.128.9 18-24 31.329.330.929.933.828.432.733.030.733.233.133.9 25-44 26.224.923.923.424.624.825.825.225.025.424.726.7 45-64 18.017.016.316.517.017.518.318.617.718.418.319.1 45-54 18.517.417.116.716.817.018.318.617.318.418.018.8 55-64 11.310.510.711.412.213.113.914.114.414.214.415.0 65+ 7.47.37.98.49.210.011.111.411.912.3 12.6 65-69 7.47.37.98.49.210.011.111.411.912.3 12.6

18. 18Vol 2, ESRD, Ch 2 vol 2 Table 2.11 HP2020 CKD-13.1 Increase the proportion of patients receiving a kidney transplant within 3 years of end-stage renal disease: Target 20.1% Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease; ESRD, end-stage renal disease. 1998 (%) 1999 (%) 2000 (%) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) All 20.119.519.318.4 18.218.317.817.216.615.714.7 American Indian or Alaskan Native only 13.79.515.58.711.58.89.28.99.910.16.87.2 Asian only 19.218.7 19.121.021.820.318.519.017.618.116.8 Native Hawaiian or other Pacific Islander only 13.613.48.312.812.411.812.79.69.810.510.78.4 Black or Af Am only 9.89.59.88.89.69.210.09.69.0 8.77.7 White only 26.225.324.623.923.223.022.722.121.420.719.318.2 Two or more races *******16.316.414.418.317.4 Hispanic or Latino 16.814.915.414.614.514.914.714.614.513.812.611.8 Not Hispanic or Latino 20.119.619.218.518.618.118.417.817.216.815.914.8 Black or Af Am only, not Hispanic/Latino 9.89.49.78.89.59.29.99.68.99.08.67.7 White only, not Hispanic or Latino 28.127.826.926.325.825.325.124.423.823.121.820.5

19. 19Vol 2, ESRD, Ch 219Vol 2, ESRD, Ch 2 vol 2 Table 2.11 HP2020 CKD-13.1 Increase the proportion of patients receiving a kidney transplant within 3 years of end-stage renal disease: Target 20.1% (continued) Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease; ESRD, end-stage renal disease. 1998 (%) 1999 (%) 2000 (%) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) Male 21.620.520.119.319.619.2 18.718.117.216.015.0 Female 17.216.916.816.215.815.616.015.414.915.114.513.4 <18 75.175.973.272.972.777.576.276.978.778.977.178.2 0-4 78.781.878.177.076.679.277.274.676.676.768.574.7 5-11 81.480.475.181.978.882.583.982.282.788.586.383.9 12-17 70.772.171.067.068.574.872.775.778.176.376.777.5 18-44 33.832.631.630.329.829.029.527.726.925.524.122.8 18-24 44.442.744.042.639.942.542.640.037.935.934.335.0 25-44 32.631.530.228.928.627.428.026.425.624.423.021.5 45-64 16.315.716.115.315.1 15.215.014.614.113.312.4 45-54 21.120.220.419.618.418.5 17.617.217.015.714.9 55-64 12.612.112.611.912.5 12.713.212.712.111.710.7 65+ 5.36.06.36.57.47.78.17.98.3 7.9 65-69 5.36.06.36.57.47.78.17.98.3 7.9

20. 20 Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease; ESRD, end-stage renal disease. Vol 2, ESRD, Ch 2 vol 2 Table 2.12 HP2020 CKD-13.2 Increase the proportion of patients who receive a preemptive transplant at the start of end-stage renal disease 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) All3.23.3 3.63.84.0 3.93.8 3.93.7 American Indian or Alaskan Native only **1.5**1.4**1.7*1.61.1 Asian only2.02.82.62.42.62.93.13.42.93.43.83.0 Native Hawaiian or other Pacific Islander only ******1.92.62.0*** Black or Af Am only0.50.7 0.9 1.1 1.01.11.20.9 White only3.94.14.04.54.85.05.24.94.6 4.74.2 Two or more races****1.3******* Hispanic or Latino1.11.3 1.5 2.0 2.22.1 Not Hispanic or Latino2.83.02.93.33.53.73.93.83.53.63.73.2 Black or Af Am only, not Hispanic/Latino 0.50.7 0.9 1.1 1.01.11.20.9 White only, not Hispanic or Latino 4.64.84.75.35.66.06.25.95.45.55.65.0

21. 21Vol 2, ESRD, Ch 2 Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease; ESRD, end-stage renal disease. vol 2 Table 2.12 HP2020 CKD-13.2 Increase the proportion of patients who receive a preemptive transplant at the start of end-stage renal disease (continued) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) Male2.72.8 3.03.23.63.73.43.3 3.42.9 Female2.52.72.63.03.23.33.53.63.33.43.53.2 <1819.518.721.119.323.525.222.022.326.323.926.225.2 0-417.612.718.817.417.6 19.411.919.216.119.417.6 5-1121.326.828.321.829.033.531.132.336.132.630.230.3 12-1719.216.418.719.023.424.719.522.325.023.527.726.6 18-445.75.85.46.05.76.36.0 5.85.66.05.6 18-248.58.68.9 8.810.38.49.19.39.59.29.6 25-445.45.55.05.75.45.8 5.75.55.25.65.2 45-642.52.62.83.13.33.53.63.43.23.43.33.1 45-543.53.63.73.94.24.34.64.23.94.34.03.8 55-641.81.92.12.42.62.83.02.92.72.82.92.7 65+0.70.91.21.31.61.91.82.01.92.12.32.2 65-690.70.91.21.31.61.91.82.01.92.12.32.2

22. 22Vol 2, ESRD, Ch 2 vol 2 Table 2.13 HP2020 CKD-14.1 Reduce the total death rate for persons on dialysis: Target 193.2 deaths per 1,000 patient years Data Source: Special analyses, Medicare 5 percent sample. Period prevalent dialysis patients. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 All 240.7239.1237.4232.1228.5224214.7207.4201.6194.3190.2181.4 American Indian or Alaskan Native only 208.1199.2192.2183.6180170.8164.1167.9172150.8147.4143.5 Asian only 174.1164.3172.9168.2172.3160.4156.4142.2143.5134.6138132 Native Hawaiian or other Pacific Islander only 162.5180171.2165.3151.3161.7162.8149.1157.2153.1138.7132.2 Black or Af Am only 189.8186.7187.2186.2181.7176.2169.4163.1157.9150.2145.2138.8 White only 286.5286.2282.8274.1270.8266.2254.2245.8238.5231.9228217.3 Two or more races ****159166.5150.5157.1154.2140.7138125.3 Hispanic or Latino 178.3177.9175.9170.6167160.3149.7144.1145.7137.3136.5134.9 Not Hispanic or Latino 245.2246245.9241.7238.5234.9226.4219.1212.3205.4201191 Black or Af Am only, not Hispanic/Latino 190.2187187.6186.4182.1176.7170.1163.7158.3150.6145.5138.5 White only, not Hispanic or Latino 311.7312.3310.2302.6299.8297.6287.1280271.3266.4263251

23. 23Vol 2, ESRD, Ch 2 vol 2 Table 2.13 HP2020 CKD-14.1 Reduce the total death rate for persons on dialysis: Target 193.2 deaths per 1,000 patient years (continued) Data Source: Special analyses, Medicare 5 percent sample. Period prevalent dialysis patients. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 Male 235.2233233.4228.9225.3221.1212.3206201.6193.6189.4181.4 Female 246.8245.9242235.8232.3227.3217.7209.1201.7195.2191.2181.4 <18 48.948.164.949.44144.242.445.642.849.430.532.3 0-4 132.184.293.77870.973.564.684.188.873.236.761.6 5-11 37.731.363.353.83140.947.239.737.751** 12-17 33.346.459.641.637.438.235.636.931.442.129.623.4 18-44 103.7104.7105.1101.199.796.893.586.284.679.977.774.2 18-24 57.96156.158.856.253.551.951.145.944.746.444.5 25-44 108.4109.2110.3105.5104.2101.397.889.988.683.680.977.2 45-64 192.6189.4190.5186.1179.7177.8168.3163.5159.9154150.7144.6 45-54 161159.3157.3154.4150.1149.7141.4137134.8128.3124.1118.9 55-64 218.1213.8217.6212.1204200.6190184.8179.7174.1171.2164.1 65+ 362.2360.5354348347.5339.9329.4320.4310.9300.8295.4281.4 65-74 308.1305.6298.8294.2291279.8268.1263.9256.4244.9241229.8 75-84 426.6420.4411.9401.6402.9398.7387.5373.9358.5351.1344.4328.8 85+ 607.9614595.6578.4574.1562.2557.8521.8516.7500.9494.3468.6

24. 24Vol 2, ESRD, Ch 2 vol 2 Table 2.14 HP2020 CKD-14.2 Reduce the death rate in dialysis patients within the first 3 months of initiation of renal replacement therapy: Target 329.0 deaths per 1,000 patient years at risk Data Source: Special analyses, Medicare 5 percent sample. Incident dialysis patients; unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 All 381.0380.7386.9381.3377.8370.1365.6362.1352.2353.3335.8311.8 American Indian or Alaskan Native only 172.4146.8193.8209.2214.2158.0175.7237.3154.1151.6151.2218.2 Asian only 232.9226.0236.2231.9251.7207.8247.0203.3213.4216.5177.8187.1 Native Hawaiian or other Pacific Islander only 212.1181.3185.4187.7169.3219.3173.8149.2197.2163.3184.5122.4 Black or Af Am only 274.9266.4278.3274.9274.8267.2254.2253.6246.8243.0230.6206.7 White only 448.4454.3457.7447.4440.0432.6431.1428.1417.1419.8401.2372.8 Two or more races ****310.0302.4285.3302.1197.9262.8257.0* Hispanic or Latino 247.9229.0243.5227.1241.1216.5219.0212.3206.8207.9204.2194.6 Not Hispanic or Latino 398.4401.9407.4403.2397.1392.9387.9385.7375.5377.7358.8331.5 Black or Af Am only, not Hispanic/Latino 275.9266.2279.0276.0274.7267.5255.9254.3247.3243.7232.1205.1 White only, not Hispanic or Latino 484.8498.8499.8491.8482.8483.5481.1482.5470.9476.5456.8421.7

25. 25Vol 2, ESRD, Ch 2 vol 2 Table 2.14 HP2020 CKD-14.2 Reduce the death rate in dialysis patients within the first 3 months of initiation of renal replacement therapy: Target 329.0 deaths per 1,000 patient years at risk (continued) Data Source: Special analyses, Medicare 5 percent sample. Incident dialysis patients; unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 Male 383.1376.3386.1382.4372.5367.1367.4363.7357.0350.5335.8307.8 Female 378.7385.9387.8380.0384.2373.8363.2360.2346.1357.0335.7317.0 <18 ***71.1******** 0-4 ************ 5-11 ************ 12-17 ************ 18-44 101.6 103.7106.5105.7102.697.5100.3102.994.293.770.6 18-24 74.060.062.574.759.991.766.956.950.266.372.7* 25-44 104.4105.9108.1109.7110.4103.7100.6104.8108.097.095.974.7 45-64 215.0210.2217.5212.1213.6205.0199.3206.6202.9202.1193.6179.8 45-54 158.9165.3168.6166.9174.8154.8156.0171.7160.6157.5149.2134.8 55-64 256.9243.4252.9244.3240.5240.1228.6229.5230.3229.7221.4206.8 65+ 580.5 590.2583.0577.7571.5569.3555.5537.9539.2512.9480.5 65-74 431.0427.9421.0422.2418.3401.4404.8405.2390.9391.6367.3349.8 75-84 673.3674.3676.9668.9655.4656.0652.7615.7611.3610.8593.2545.9 85+ 1046.0982.91073.51009.6990.61007.9961.6964.4889.2912.1850.4837.2

26. 26Vol 2, ESRD, Ch 2 vol 2 Table 2.15 HP2020 CKD-14.3 Reduce the cardiovascular death rate for persons on dialysis: Target 83.2 deaths per 1,000 patient years at risk Data Source: Special analyses, Medicare 5 percent sample. Period prevalent dialysis patients; unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 All 122.1119.2116.3110.8104.598.392.487.784.781.678.375.5 American Indian or Alaskan Native only 105.795.390.383.977.27270.261.769.261.458.256.3 Asian only 97.391.196.28689.673.271.467.769.163.463.859.9 Native Hawaiian or other Pacific Islander only 102.4111.3102.789.37787.98073.68282.367.966.1 Black or Af Am only 92.791.389.387.683.479.474.571.368.464.561.260.4 White only 146.9142.9139.2131.2123114.7107.7101.697.895.492.188.1 Two or more races ****72.676.270.173.867.469.465.452.8 Hispanic or Latino 95.19387.984.480.374.36866.167.363.961.961.2 Not Hispanic or Latino 123.8121.9120.1114.8108.3102.496.791.6888581.678.5 Black or Af Am only, not Hispanic/Latino 92.991.389.587.583.479.674.771.568.564.761.360.2 White only, not Hispanic or Latino 159.2155.2152.5144.1134.8126.7120.2113.5108.4106.8103.599.1

27. 27Vol 2, ESRD, Ch 2 vol 2 Table 2.15 HP2020 CKD-14.3 Reduce the cardiovascular death rate for persons on dialysis: Target 83.2 deaths per 1,000 patient years at risk (continued) Data Source: Special analyses, Medicare 5 percent sample. Period prevalent dialysis patients; unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 Male 121.7118.6116.8112.1105.299.893.689.88783.580.177.8 Female 122.6120115.7109.3103.696.590.98581.879.27672.6 <18 20.914.418.718.51718.414.115.217.717.21013.1 0-4 48.4*******38*** 5-11 ************ 12-17 16.614.220.816.515.818.214.312.913.120.212.210.4 18-44 47.848.6 45.945.14341.638.1 36.234.433.5 18-24 22.226.526.125.325.922.721.819.821.420.319.919.2 25-44 50.550.9 4847.145.143.64039.837.835.935 45-64 99.596.494.390.784.982.175.373.271.76966.464.4 45-54 82.681.276.174.870.869.964.262.361.958.155.954 55-64 113.1108.8109.2103.896.591.984.381.979.477.474.572.4 65+ 184.4179.6173.9165.2156.1144.4137.8129.8123.9119.8115.1110.5 65-74 158.9154.7147.9143.5132.7122.3116.5111.4106.4100.598.593.7 75-84 214.8205.7200.3185.3179.6164.8157.8146.9137.1137.4128.2125.6 85+ 300.3303.6292.7267.5245.5234.1218.5197.8201.1188.4184.6174

28. 28Vol 2, ESRD, Ch 2 vol 2 Table 2.16 HP2020 CKD-14.4 Reduce the total death rate for persons with a functioning kidney transplant: Target 27.1 deaths per 1,000 patient years at risk Data Source: Special analyses, Medicare 5 percent sample. Period prevalent transplant patients; unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 All 33.331.732.430.631.530.830.128.829.829.529.927.2 American Indian or Alaskan Native only 37.734.831.836.037.546.033.531.850.345.042.130.2 Asian only 19.322.217.520.521.519.823.218.116.816.720.418.5 Native Hawaiian or other Pacific Islander only 30.832.324.523.537.719.017.218.426.718.917.019.8 Black or Af Am only 37.935.836.233.2 32.729.830.029.629.030.028.4 White only 33.031.432.730.831.631.231.129.430.730.630.727.7 Two or more races ****24.521.715.621.922.6 23.823.3 Hispanic or Latino 21.120.018.717.321.122.419.919.721.420.921.618.4 Not Hispanic or Latino 34.633.134.132.332.932.031.630.131.130.931.228.6 Black or Af Am only, not Hispanic/Latino 38.136.336.133.433.732.930.130.529.729.330.228.8 White only, not Hispanic or Latino 34.632.934.832.933.332.633.031.232.732.632.729.7

29. Vol 2, ESRD, Ch 229 vol 2 Table 2.16 HP2020 CKD-14.4 Reduce the total death rate for persons with a functioning kidney transplant: Target 27.1 deaths per 1,000 patient years at risk (continued) Data Source: Special analyses, Medicare 5 percent sample. Period prevalent dialysis patients; unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 Male 35.433.533.732.933.932.731.930.431.131.631.928.8 Female 30.129.230.427.428.028.127.626.427.926.627.024.8 <18 5.47.76.63.77.34.0**3.46.43.1* 0-4 ************ 5-11 ************ 12-17 5.87.36.5*8.4****6.4** 18-44 14.813.812.211.911.411.210.59.49.78.77.96.8 18-24 8.53.85.17.2 7.85.76.36.46.14.24.7 25-44 15.414.813.012.311.911.511.09.710.19.08.47.1 45-64 38.434.935.731.832.931.029.127.426.925.826.622.1 45-54 29.127.526.323.425.224.021.520.620.717.917.714.2 55-64 51.745.047.642.041.838.737.134.333.033.134.729.1 65+ 90.587.388.284.381.178.677.170.973.171.969.565.5 65-74 84.381.379.777.074.270.068.361.363.662.859.355.5 75-84 138.0130.9148.5131.0119.6125.2119.6116.2115.7108.1109.3101.4 85+ ****168.6117.8196.3118.9136.0172.2140.3160.2

30. 30Vol 2, ESRD, Ch 2 vol 2 Table 2.17 HP2020 CKD-14.5 Reduce the cardiovascular death rate in persons with a functioning transplant: Target 4.4 deaths per 1,000 patient years at risk Data Source: Special analyses, Medicare 5 percent sample. Period prevalent transplant patients; unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 200120022003200420052006200720082009201020112012 All 5.14.84.95.35.45.14.94.14.04.13.53.3 American Indian or Alaskan Native only *10.7***8.8****** Asian only *3.8**2.33.63.0***2.02.2 Native Hawaiian or other Pacific Islander only ************ Black or Af Am only 6.65.65.86.0 5.95.35.04.94.84.23.9 White only 5.04.64.95.4 5.0 4.0 4.23.43.2 Two or more races ********4.4*** Hispanic or Latino 3.24.03.43.03.94.13.23.4 2.83.12.2 Not Hispanic or Latino 5.44.95.15.55.65.25.14.1 4.33.53.4 Black or Af Am only, not Hispanic/Latino 6.75.7 6.1 6.05.45.15.04.84.24.0

31. Vol 2, ESRD, Ch 231 vol 2 Table 2.17 HP2020 CKD-14.5 Reduce the cardiovascular death rate in persons with a functioning transplant: Target 4.4 deaths per 1,000 patient years at risk (continued) Data Source: Special analyses, Medicare 5 percent sample. Period prevalent transplant patients; unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: Af Am, African American; CKD, chronic kidney disease. 200120022003200420052006200720082009201020112012 Male 5.65.2 5.95.85.35.64.54.04.63.83.3 Female 4.54.34.4 4.7 3.93.44.03.42.93.3 <18 ************ 0-4 ************ 5-11 ************ 12-17 ************ 18-44 2.3 2.2 2.11.9 1.61.3 1.0 18-24 ************ 25-44 2.4 2.32.42.21.92.01.71.4 1.01.1 45-64 6.25.45.55.8 5.54.94.13.73.93.32.8 45-54 5.74.04.34.84.54.14.23.23.12.82.21.9 55-64 7.07.27.0 7.27.05.85.14.44.94.43.7 65+ 12.2 12.012.913.211.311.48.79.79.27.47.2 65-74 12.210.910.612.112.810.0 8.08.38.66.86.2 75-84 12.021.622.418.115.518.718.212.516.411.29.311.3 85+ ************